<!DOCTYPE html>
<html xmlns:th="http://www.w3.org/1999/xhtml">
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
	<div class="wrapper wrapper-content ">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">
                                                                							                                                                <div class="form-group">	
								<label class="col-sm-3 control-label">经销商id：</label>
								<div class="col-sm-8">
									<select id="agentId" name="agentId" class="form-control">

									</select>
								</div>
							</div>

														                                                                <!--<div class="form-group">	-->
								<!--<label class="col-sm-3 control-label">状态 1默认地址  0非默认  2已删除：</label>-->
								<!--<div class="col-sm-8">-->
									<!--<input id="status" name="status" class="form-control" type="text">-->
								<!--</div>-->
							<!--</div>-->
														                                                                <!--<div class="form-group">	-->
								<!--<label class="col-sm-3 control-label">创建时间：</label>-->
								<!--<div class="col-sm-8">-->
									<!--<input id="createDate" name="createDate" class="form-control" type="text">-->
								<!--</div>-->
							<!--</div>-->
														                                                                <!--<div class="form-group">	-->
								<!--<label class="col-sm-3 control-label">：</label>-->
								<!--<div class="col-sm-8">-->
									<!--<input id="province" name="province" class="form-control" type="text">-->
								<!--</div>-->
							<!--</div>-->
														                                                                <!--<div class="form-group">	-->
								<!--<label class="col-sm-3 control-label">：</label>-->
								<!--<div class="col-sm-8">-->
									<!--<input id="city" name="city" class="form-control" type="text">-->
								<!--</div>-->
							<!--</div>-->
														                                                                <!--<div class="form-group">	-->
								<!--<label class="col-sm-3 control-label">：</label>-->
								<!--<div class="col-sm-8">-->
									<!--<input id="area" name="area" class="form-control" type="text">-->
								<!--</div>-->
							<!--</div>-->
							<div class="form-group">
								<label class="col-sm-3 control-label">
									城市区域：
									<!--<span style="color: #e7262a">*</span>-->
								</label>
								<div id="target" class="col-sm-8"><!-- container -->
									<select name="province"></select><!-- 省 -->
									<select name="city"></select><!-- 市 -->
									<select name="area"></select><!-- 区 -->
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">收货地址：</label>
								<div class="col-sm-8">
									<input id="address" name="address" class="form-control" type="text">
								</div>
							</div>
																					<div class="form-group">
								<div class="col-sm-8 col-sm-offset-3">
									<button type="submit" class="btn btn-primary">提交</button>
								</div>
							</div>
						</form>
					</div>
				</div>
			</div>
	</div>
	</div>
	<div th:include="include::footer"></div>
	<script type="text/javascript" th:src="@{/js/appjs/agent/agentAddress/add.js}" src="/js/appjs/agent/agentAddress/add.js">
	</script>
    <script type="text/javascript">
         $('#target').distpicker()
	</script>
</body>
</html>
